| NPI | 1508962127 |
|---|---|
| Former Name | MARSHA ANN TRACY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: CA RN295196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP13220) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2007-07-08 |